Active NPI
Antonio C De Andrade, M.D.
- Hospice and Palliative Medicine (Surgery) Physician
- Altamonte Springs, FL
National Provider Identifier
1972508562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Surgery) Physician
- License
- ME101361
- Practice address
- 480 W Central Pkwy
Altamonte Springs, FL 32714-2415 - Phone
- (407) 683-0808
- Fax
- (407) 379-0511
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | ME101361 | FL | Primary |
Addresses
Primary practice location
480 W Central Pkwy
Altamonte Springs, FL 32714-2415
Mailing address
2100 Hestia Loop Apt 538
Oviedo, FL 32765-9569
Phone (407) 921-9953
Other practice location 1
600 N US Highway 17 92 Ste 124
Longwood, FL 32750
Phone (407) 876-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612000436 | FL | Order and Referring Only - Hospice/Palliative Care | 0840252375 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101361 | FL | MD | Hospice and Palliative Medicine (Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Associates of Corpus Christi | Current | Accepting new patients | |
| Adventhealth Home Health and Hospice Inc | Past | Accepting new patients |
Locations
5959 S Staples St
Ste 102
Corpus Christi, TX 78413
Phone (361) 500-4949
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFAJBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Corpus Christi, TX
- NPI 1528085206
-
- Home Health Agency
- Fletcher, NC
- NPI 1558179804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1972508562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HESTIA LOOP APT 538",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659569",
"telephone_number": "407-921-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W CENTRAL PKWY",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142415",
"telephone_number": "407-683-0808",
"fax_number": "407-379-0511"
}
],
"practiceLocations": [
{
"address_1": "600 N US Highway 17 92 Ste 124",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "32750",
"country_code": "US",
"telephone_number": "407-876-6699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE ANDRADE",
"first_name": "ANTONIO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086H0002X",
"taxonomy_group": "",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME101361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.